皮肤针联合封闭疗法治疗桡骨远端慢性骨骺损伤临床研究
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摘要
目的:观察皮肤针联合封闭疗法治疗桡骨远端慢性骨骺损伤的临床疗效。方法:将98例桡骨远端慢性骨骺损伤患者随机分为皮肤针联合封闭疗法治疗50例(治疗组),封闭疗法治疗48例(对照组),并辅以超短波理疗;治疗后统计2组临床疗效、不良反应,并评测治疗前后腕关节屈伸、旋转及握力(与正常侧比)情况,随访1年统计复发率。结果:优良率、总有效率治疗组分别为96.0%、100%,对照组分别为73.0%、85.0%,2组比较,差异有统计学意义(P <0.05)。治疗后,2组患者背伸/掌屈角、尺偏/桡偏角、握力均较治疗前增加(P <0.05),且治疗组上述指标改善优于对照组(P <0.05)。随访1年,治疗组疗效优良者复发率为2.0%,对照组为11.0%;2组比较,差异有统计学意义(P <0.05)。治疗组口渴发生率为14.0%,对照组为10.0%,2组比较,差异无统计学意义(P> 0.05)。结论:皮肤针联合封闭疗法治疗桡骨远端慢性骨骺损伤疗效肯定,且复发率低。
Objective:To observe the clinical effect of dermal needling combined with block therapy on chronic distal radial epiphysis injury.Methods:A total of 98 cases of patients with chronic distal radial epiphysis injury were randomly divided into the dermal needling combined with block therapy group(the treatment group) and the block therapy group(the control group),50 and 48 cases in each group respectively.Both groups were supplemented with ultrashort wave therapy.After treatment,the clinical effect and the adverse reactions in the two groups were counted.Before and after treatment,compared with those in the normal side,the flexion and extension,rotation as well as grip strength in the wrist were measured.After one-year follow-up,the recurrence rates were counted Results:The excellent and good rate as well as the total effective rate were 96.0% and 100% in the treatment group and 73.0% and 85.0% in the control group respectively,the difference being significant(P<0.05).After treatment,the angle of dorsal extension and palmar flexion,the angle of ulnar deviation and radial deviation as well as the grip strength in the two groups were increased when compared with those before treatment(P<0.05),and the above indexes in the treatment group were larger than those in the control group(P<0.05).After one-year follow-up,the recurrence rate in patients with excellent and good curative effect was 2.0% in the treatment and11.0% in the control group,the difference being significant(P<0.05).The incidence of thirst was 14.0% in the treatment group and 10.0% in the control group,there being no significance in the difference(P>0.05).Conclusion:The therapy of dermal needling combined with block therapy in treating chronic distal radial epiphysis injury has defined curative effect with low recurrence rate.
Objective:To observe the clinical effect of dermal needling combined with block therapy on chronic distal radial epiphysis injury.Methods:A total of 98 cases of patients with chronic distal radial epiphysis injury were randomly divided into the dermal needling combined with block therapy group(the treatment group) and the block therapy group(the control group),50 and 48 cases in each group respectively.Both groups were supplemented with ultrashort wave therapy.After treatment,the clinical effect and the adverse reactions in the two groups were counted.Before and after treatment,compared with those in the normal side,the flexion and extension,rotation as well as grip strength in the wrist were measured.After one-year follow-up,the recurrence rates were counted Results:The excellent and good rate as well as the total effective rate were 96.0% and 100% in the treatment group and 73.0% and 85.0% in the control group respectively,the difference being significant(P<0.05).After treatment,the angle of dorsal extension and palmar flexion,the angle of ulnar deviation and radial deviation as well as the grip strength in the two groups were increased when compared with those before treatment(P<0.05),and the above indexes in the treatment group were larger than those in the control group(P<0.05).After one-year follow-up,the recurrence rate in patients with excellent and good curative effect was 2.0% in the treatment and11.0% in the control group,the difference being significant(P<0.05).The incidence of thirst was 14.0% in the treatment group and 10.0% in the control group,there being no significance in the difference(P>0.05).Conclusion:The therapy of dermal needling combined with block therapy in treating chronic distal radial epiphysis injury has defined curative effect with low recurrence rate.
引文
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[2]徐斌铨,燕铁斌,王斌,等.挠骨远端骨骺慢性撞击伤实验病理研究[J].中国运动医学杂志,1998,17(4):193
[3]王亦璁,孟继懋,郭子恒,等.骨与关节损伤[M].4版.北京:人民卫生出版社,2007:161-165,149.
[4]王嘉芙,王武韶,熊有正,等.桡骨远端骨骺炎合下尺桡关节损伤[C].1980年全国体育科学学术报告会论文汇编,1980:145.
[5] SCHNEIDERS W.BIEWENER A, RAMMELT S, et al.Distal radius fracture.Correlation between radiological and functionalresults[J].Unfallchiruurg,2006,109:837-844.
[6]王宏骏,张佩文,毛雨生,等.优秀体操运动员手腕疼痛的调查分析[J].中国运动医学杂志,1993,12(1):44.